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General NPI Number Information
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NPI Number | 1871480830
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Entity Type | Individual
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Provider Name | TERESA ROSE SMREKER-BRUCE DPT
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Gender | Female
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 8850 E PIMA CENTER PKWY
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4619
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Country | US
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Telephone | 480-800-3900
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Fax |
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Provider Business Mailing Address
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Address Line | 5332 E BASELINE RD APT 2050
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City | MESA
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State | AZ
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Zip | 85206-4731
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Country | US
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Telephone | 636-253-1020
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | LPT-034223
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License Number State | AZ
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